Double Zero LLC New Grace

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DOUBLE ZERO LLC NEW GRACE

Doing business as

New Grace Adult Family Home

Practice address

1507 Lebanon St SE
Lacey, WA 98503-2750

Phone

(206) 581-8452

Fax

(360) 359-7722

NPI assigned

Nov 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emmaline Wanjiku Njoroge, CNA

Title

Provider

Phone

(206) 581-8452

Specialties & licenses 1

Addresses

Other names 1

• New Grace Adult Family Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1114742343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LEBANON ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032750",
            "telephone_number": "206-581-8452",
            "fax_number": "360-359-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 LEBANON ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032750",
            "telephone_number": "206-581-8452",
            "fax_number": "360-359-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE ZERO LLC NEW GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "NJOROGE",
        "authorized_official_first_name": "EMMALINE",
        "authorized_official_middle_name": "WANJIKU",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-581-8452",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Grace Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rebecca Doss, RBT
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• Cheryl A. Draper, PA-C

• Adult Care Home Facility in Lacey, WA
• Providers in Lacey, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.